<?php
include "header.php";
?>
<div class="content">
	<form METHOD="POST" ACTION="testInscription.php">
	<table>
		<tr>
		<td></td>
			<td>
				<?php if(isset($_GET["ins"]) ) echo $_GET["ins"]; ?>
			</td>
		</tr>
		<tr>
			<td>Nom*</td>
			<td><input type="text" size="60" name="nom" ></td>
		</tr>
		<tr>
			<td>Pr&eacute;nom</td>
			<td>  <input type="text" size="60" name="id" ></td>
		</tr>
		<tr>
			<td>Adresse</td>
			<td><input type="text" size="60" name="id" ></td>
		</tr>
		<tr>
			<td>Mail*</td>
			<td><input type="text" size="60" name="mail" ></td>
		</tr>
		<tr>
			<td>Mot de passe*</td>
			<td><input type="text" size="60"  name="pass" ></td>
		</tr>
		<tr>
			<td>R&eacute;p&eacute;ter mot de passe*</td>
			<td><input type="text" size="60"  name="pass2"></td>
		</tr>
		<tr>
			<td>Telephone</td>
			<td><input type="text" size="60" name="id" ></td>
		</tr>
		<tr style="margin-top:20px">
			<td colspan="2" style="text-align:center">
			<input type="submit" style="width: 200px; height: 30px;" name="enregistrer" value="Valider">
			</td>
		</tr>
		<tr>
			<td colspan="2" >*<i> champs obligatoires</i></td>
		</tr>
	</table>
	</form>			
</div>
<?php
include "footer.php";
?>